HomeMy WebLinkAboutBLOCK 19 LOTS 1-6 BOHEMIAN OFFICE BUILDING 260 EAST MOUNTAIN AVENUE - Filed MA-MINOR AMENDMENT - 2009-08-26�o
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City of Fort Collins Zoning Department Comments Due By: -3- 44- a �--k-09
281 N. College Ave, PO Box 580 Minor Amendment # /L4 q U q oOO16
Fort Collins, CO 80522 Planner /�L*0,r 13oL ,vvs
City of Fort Collins (970) 416-2745 FAX (970) 224-6134 Effective Date fr-1-1-pg
Minor Amendment Application Form
Date Submitted: y rH OF t)Ut�`�
Project Name: A, r. e 0 4 4,1- 8c o c tc
Project Location (Street Address): Z&O fi 140VA.1rtR'?+u Minor Amendment Fee: $192.00
Legal Description: Zar-s /-(o o1c /
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s):
Street Address: 3030 S. Ca"ecrr,& ,�vr" City/State/Zip: O oOSZz
Telephone: 22; (v ' 1500 Fax: X 7- 15Co
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Applicant's/Consultant's Name: A4ra • Lyee*1100ame of firm: a *--f'WeA A&
Street Address: Zoo S, c.,o &&,C4Y 6 A/c City/State/Zip: iq CO 80 tj- is
Telephone: 2,41.-y15S Fax: L21T Y15q Email:&P-P/11mPUrlEQ:1t!FA&.1ra,1KCP,n
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SUBMITTALRE UIREMENTS:
1) Six X copies of RECORDED plan (i.e. site, landscape, elevation, etc. - whichever is being altered) on
24" x 6" size (usually available at the Technical Services Department at 281 N. College) - RED -LINE
THE CHANGES ON their plans or provido-&ix copies of revised drawings showing the changes in
addition to the six originals; :1
2) Completed and signed application form; and
3) Application fee of $192.00.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request: Aar, rustic t i, �Q o�rE,ui�Ar S ty.,Y,W,A
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CERTIFICATION
I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filing this application, I am acting with
the knowledge, consent, and authority of the owners of the property (including all owners having a legal or equitable interest in the real property, as
defined in Section 1-2 of the City Code; which is the subject of this application) without whose consent and authority the requested action should not
lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for the purpose of inspection, and if
necessary, for posting a public notice on the property.
Name (please PRINT): Gooa y_ � J o tV s?,* A-%
Address: ZOO 5. d.-C e4e / 6 rc- 9 �eei.itiS Co
Telephone: 2 2 (_ Y 15 8 Signature: